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Centers of Excellence Grant Program > FY 2004 Grant Abstracts

Alabama

Tuskegee University
College of Veterinary Medicine, Nursing and Allied Health
Barbara Diffay, D.V.M.
Tuskegee, AL  36088
(334) 727-8174

FAX (334) 727-8177
diffay@tuskegee.edu

Historically Black College & University Centers of Excellence

Tuskegee University’s School of Veterinary Medicine (TUSVM) proposes to continue to expand its successes of the past several years.  The primary goal of the Center of Excellence in Minority Veterinary Medical Education at Tuskegee University is to enhance the School’s ability to recruit, retrain and graduate URM veterinary medical students.  The proposed Center of Excellence will accomplish this goal by addressing six major needs:

  1. the need to retain and graduate minority veterinary medical students and continue to make them leaders in the field of veterinary medicine in Alabama, the nation, and the world;
  2. the need to develop a minority faculty pipeline;
  3. the need to make veterinary medical students aware of the essential role the veterinary medical profession in addressing public and minority health issues;
  4. the need to train new veterinary medical researchers concerning the growing interaction of humans, animals, and the environment and the dramatic impact those interactions have on public health, particularly that of minority populations;
  5. the need to improve cultural competence of graduates of TUSVM by continuing to support and expand activities that foster cultural acceptance and sensitivity;
  6. the need to expand the minority applicant pool and the number of minority students entering veterinary medicine at Tuskegee University.

Arizona

University of Arizona
College of Medicine
Francisco A. Garcia, M.D.
1501 Campbell Ave
Tucson, AZ 85724-5018
(602) 631-6571
FAX (480) 368-1452
fcisco@u.arizona.edu

Hispanic Center of Excellence

The Arizona Health Science Center- Hispanic Center of Excellence (HCOE) is grounded on a solid base established during the past four years in order to become a premier Hispanic medical research and training center, producing excellent clinicians and scientists to serve the increasingly complex needs of Arizona.  The federal investment in the Arizona HCOE is leveraged with institutional and community support to sustain and expand successful efforts that will benefit the health of Hispanics and all Americans.

The HCOE coordinates programs and resources with internal and external partners.  Based within the University of Arizona, College of Medicine, the HCOE brings together parts of the College of Public Health, the Mexican American Studies and Research Center, the Graduate College and the Office of Minority Affairs.  This core group works with the external partners including state universities, community colleges, hospitals, Area Health Education Centers, the Border Consortium, and Health Career Opportunity Programs to connect people and programs that promote Hispanic health issues and Hispanic physician development.  The Arizona HCOE catalyzes the resources and expertise of the partners, avoiding duplication, and advancing the health of people in Arizona, the US-Mexico border area, and the nation.

The HCOE partnership meets the seven goals set forth in the enabling legislation by focusing on two major themes:

  1. Supporting Hispanic faculty and student recruitment, development, and retention;
  2. Infusing reciprocal cultural competence into the training of all physicians at the University of Arizona.

Our mission is to improve the health of all Americans by producing the highest quality scholarship with regards to Hispanic health, and by training the next generation of culturally diverse and culturally fluent health care providers.

California

Stanford University School of Medicine
Fernando Mendoza, M.D., M.P.H.
750 Welch Road, Suite 325
Palo Alto, CA  94304-5731
(650) 725-8314
FAX (650) 498-5693
Fernando.mendoza@stanford.edu

Hispanic Center of Excellence

The Stanford School of Medicine (SSM) Centers of Excellence purposes are to change the School of Medicine’s capacity to recruit and retain underrepresented minority faculty and students, and to change the fundamental curriculum in ways that promote information, training, and research related to minority health care issues and the elimination of health disparities. 

Activities to accomplish each objective are listed below: 

  1. Student Performance: Minority student performance will be improved by participation in the Early Matriculation Program, nonacademic and academic advising, mentorship program, tutorial assistance, and a leadership program.  A two-quarter USMLE Step 1 board review course will be offered;
  2. Faculty Development: A URM faculty pipeline program is proposed to increase the pool of URM medical students, residents, and fellows interested in academic careers; centralize recruitment of residents, fellows, and faculty; develop individual academic development plans for junior faculty with department chair and dean’s office collaborations, faculty fellowship program, and a postdoctoral fellowship;
  3. Information, Curriculum, Cultural Competence: The school’s capacity to offer information related to minority health will be enhanced by numerous activities, courses, and programs such as the expansion of a minority medical information center, minority health care disparities conference, courses on cross-cultural medicine, the PriSMS Program, linguistic competence training (Spanish language and working with interpreters), development of case-based problems for clinical teaching, development of standardized-patient models for teaching and evaluation of cultural competence curriculum, and resident and faculty development course related to teaching cross-cultural medicine.
  4. Faculty and Student Research: Minority students will have increased opportunities to participate in minority health care research projects through individual assistance from COE methodologist, seminars and courses, the Early Matriculation Program, research stipends, travel funds, partnerships with research centers, and the PriSMS Program;
  5. Clinical Services Away from Institution: URM students will have increased opportunities to participate in clinical experiences away from Stanford;
  6. Competitive Applicant Pool: The competitive applicant pool will be increased through the Stanford Comprehensive Health Careers Pipeline.  This includes partnerships with middle schools, high schools, community colleges, and undergraduate institutions in the area.  At each of these institutions, minority students will be offered information, preparation, role models, mentorship, academic preparation, and clinical exposure for premedical students.  In addition, partnerships with the Stanford Medical Youth Science Program and linkages with the Stanford Office of Admissions will expand the applicant pool.

Activities for each objective will be evaluated qualitatively and quantitatively.  Data related to name, gender, and race/ethnicity will be maintained in a central tracking system for participants in each objective.  The evaluation strategy is designed to provide information in a timely manner as to the success or failure of an activity.  The COE’s advisory committee will meet on an annual basis to review the overall performance of the program. 

UCLA School of Medicine
Gerald S. Levey, M.D.
P.O. Box 951722
Los Angeles, CA  90095-1722
(310) 794-0236
FAX (310) 794-0631

glevey@mednet.ucla.edu

Other Center of Excellence

The University of California Los Angeles (UCLA) School of Medicine has been a national leader in the enrollment and training of underrepresented minority (URM) medical students for over 25 years.  The UCLA initiated programs to advance the role of minorities in health professions in the early 1970s, establishing an admissions subcommittee for disadvantaged applicants, recruiting minority faculty members into leadership positions and establishing a minority affairs office (Office of Student Support Services).

The proposed objectives and activities build on the success of the current COE grant:  1) Student Performance: Add new components to four institutionally-funded programs- an enriched pre-matriculation program for Drew, expansion of the Master Study Program, the use of NBME subject exams for USMLE Step1 review, and preventive individual counseling; 2) Faculty Development: Improve strategies for the recruitment of new URM faculty with regular status reporting to departmental chairs and “growing our own” through recruitment of our URM residents; increasing exposure of URM medical students to academic career options and opportunities to teach and do research; a combination of career mentoring and enhanced access to research training opportunities at UCLA and Drew for the advancement of careers of junior URM faculty; 3) Information Resources, Curriculum and Clinical Education: investment to support both the research and educational programs in health care diversity and development of small group exercises and lectures for insertion into multiple courses to further reinforce cultural competency; 4) Faculty and Student Research: summer program including research experience and a seminar series will be funded for 12 URM medical students with funding to present their results at national and regional meetings; research conducted by URM faculty and students will be highlighted on the COE website with links from the library and medical school homepages; 5) Student Training in Providing Health Care Services: all UCLA/Drew students will currently spend 2 months or more in one of the three county medical centers and clinics affiliated with UCLA and Drew, several of which are Health Professional Shortage Areas; 6) Competitive Applicant Pool: expansion of the current COE activities with a partnership with the Allied Health program at Drew University for the purpose of sharing resources to enlarge outreach activities.

In addition to those measures of outcomes associated with each grant objective, the COE plans to continue the following studies of program effectiveness:  Is there any evidence that participation in COE activities influenced academic advancement for URM junior faculty members; 2) What are the factors that influence URM medical students and alumni to express an interest in or choose an academic career? 3) How are the minority health care resources from UCLA and Drew medical libraries used? 4) Do a larger number of fourth-year medical students report an adequate amount of minority health and cultural competency material in their curriculum in the final year of the grant than in the first year of the grant? Do ratings differ between URM and non-URM students? 5) Is participation in COE retention programs correlated with higher USMLE Step 1 and 2 scores? 6) Will the high school students targeted in the COE programs report an increased interest in health-related careers than before participating? 7) What percentage of college students who participated in COE programs matriculate in medical or allied health schools?

University of California-San Diego
School of Medicine
Sandra P. Daley, M.D.
9500 Gillman Drive
La Jolla, CA  92093-0621
(858) 534-1513
FAX (858) 534-0764
sdaley@ucsd.edu

Hispanic Center of Excellence

The University of California, San Diego School of Medicine (UCSD SOM) began a Hispanic Center of Excellence (HCOE) program serving the California’s San Diego and Imperial Counties border region in 1993.  The purpose of the HCOE is to support the development of scientific knowledge and research skills of Hispanic students so that they may successfully complete their course of study and become exemplary healthcare providers who are capable of achieving senior rank on the academic faculty of health professions schools.

The legislative purposes and objectives include: 

  1. Student Performance:  Hispanic students who complete the first year in good academic standing may become a HCOE Scholar at any point in their training.  Summer Pre-Entry; year-long Tutorial; USMLE Prep and Review course; Review for Re-examinations; and Standardized Test Preparation and Desensitization Programs.
  2. Faculty Development: HCOE assists Departments in recruiting three Hispanic faculty; Each junior faculty member is assigned an Academic Career Coordinator; three Hispanic junior faculty attend one of the following faculty development programs:  the Center of Leadership in Academic Medicine; the Family Medicine Community Medicine/Care for the Underserved; the Cross-Border Healthcare Network’s training programs. 
  3. Information Resources, Clinical Education, Curricula, and Cultural Competence:  Complete and implement Computer Assisted Instruction for basic science courses.  Medical students enroll in required courses on Hispanic/other URM health issues, and in the Pediatric Border Health Cross Cultural core clerkship.
  4. Faculty/Student Research:  Conduct a course in research methodology and experimental design; Encourage Faculty, Scholars, and other URM students to engage in research on Hispanic and other URM health issues. 
  5. Student Health Services Training:  Every student spends at least one-half day/week in health facilities remote from the school providing health services to URM populations.  Conduct research, health education, or health promotion activities in URM community sites. 
  6. Competitive Applicant Pool:  Conduct year-long in school, after school, and summer academic enrichment programs for 5th grade to college age students as a partner with GEAR UP, Harvey Mudd College, six Community Colleges, San Diego Unified and Sweetwater School Districts.  Conduct a Conditional Acceptance Post-baccalaureate program.

The evaluation consists of the collection of quantitative and qualitative data that results in an annual appraisal and analysis of the accomplishments.  They include:  1) Number of Hispanics enrolled; HCOE Scholars, advisors and mentors; students enrolled in community based training sites and cultural sensitivity courses; tracking retention, graduation, and performance in courses, clerkships and USMLE; 2) Number of papers, posters, fellowships; 3) Establishment of courses in Computer Assisted Instruction, Cognitive Strategies and Cross Cultural Pediatric clerkship in Border Health. 4) Number of K-12 and community college students; performance on research projects. The outcome evaluation will determine to what extent we achieved our objectives. 

University of California - San Francisco
School of Medicine
Michael V. Drake, M.D.
513 Parnassus Avenue, Box 0410
San Francisco, CA  94143-0410
(415) 502-1646
FAX (415) 502-1680
mdrake@medsch.edu

Hispanic Center of Excellence

The UCSF HCOE requests funding to continue its' successful work in Latino medical student and faculty recruitment and retention. Through a variety of programs developed both in San Francisco and Fresno, the UCSF HCOE will allow the continuation and expansion of model courses and mentoring activities that support the academic success and enhance the cultural competence of our current Latino medical students. The HCOE also supports the development of Latino faculty through carefully planned fellowship activities that focus on both research and health policy issues. Fellows will be mentored and assisted in research to help ensure their successful entry into a faculty position at the conclusion of their fellowship. Furthermore, the grant will allow UCSF to continue providing Spanish language courses for our students in addition to a Latino Health course in San Francisco, while supporting a Spanish didactic and clinical skills course in Fresno. To facilitate research in Latino populations by medical students, fellows and faculty, the HCOE will continue to provide a Research Methods Workshop with a focus on Latino health issues, as well as continue to sponsor a Research in Progress series, whereby developing Latino researchers can comfortably present their research projects and obtain productive critiquing. Through this grant, we will also fund a Latino health clinical and health policy elective in the San Joaquin Valley. This activity is designed to expose students to rural, immigrant communities in federally qualified health centers for the clinical experience, as well as to have a structured curriculum that will focus on the economic, political and social issues faced by these populations. In addition to working with medical students, fellows and faculty, the UCSF HCOE will also address the needs of the educational pipeline by developing a research training and clinical placement program for undergraduate college students. This will be done through an established collaboration with California State University, Fresno. This proposal will ultimately lead to an improvement in the health care services delivered to the Latino population and in their health status.

District of Columbia

Howard University
College of Pharmacy, Nursing & Allied Health Science
Pedro J. Lecca, Ph.D.
6th & Bryant Street, N.W., Annex #2
Washington, D.C.  20059
(202) 806-5431
FAX (202) 234-1375
plecca@howard.edu

Other Center of Excellence

This proposal seeks to continue the initially funded Center of Excellence program at Howard University’s College of Pharmacy, Nursing, and Allied Health Sciences (CPNAHS).  The success of this Center is clearly apparent and noted in the progress report.  Past and current efforts are reflected in the School of Pharmacy’s effectiveness in assisting underrepresented minority (URM) students into the professional program through extensive recruitment efforts and academic enhancement programs; providing financial aid to students (scholarships and loans); and, assisting students (academic reinforcement programs, tutoring, counseling) in completing their program of students and graduating (97 percent completion rate). 

Objectives to be achieved during the grant period include:

  1. Student Performance- increase on the on-time graduation rate in the Pharm.D. program from the current 70 percent to 90 percent, and improve the first time pass rate of students on the North American Pharmacy Licensure Exam (NAPLEX) from the current 96 percent to 97 percent (National average), and 100 percent on their second attempt;
  2. Faculty Development- increase the number of African American and Hispanic faculty in the School of Pharmacy from the current 10 to 12; establish a Teaching and Learning Scholars Program designed to provide faculty development; train post-doctoral pharmacists in pharmaceutical care development programs resulting in promotion by title at CPNAHS;
  3. Information Resources, Clinical Education, Curricula, and Cultural Competence- enhance student proficiency in computer technology; 90 percent of courses will be offered online; enhance the professional practice program by providing a structured, accurate, and efficient means for both faculty and preceptors to adequately evaluate students; incorporating cultural competence course in core courses;
  4. Faculty/Student Research- continue development and implementation of a student research program including the matching of faculty/researchers with students in active projects addressing minority health issues; and 100 percent of newly hired faculty trainees will be paired with senior investigators participating in research relevant to minority health;
  5. Student Health Services Training- increase the number of interdisciplinary clerkships, at specified community based health facilities that provide health services to a significant number of URM students from the current 66 to 90; develop a health- oriented course in Spanish for Pharmacy students; and,
  6. Competitive Applicant Pool- increase the number of African American male students enrolled in the College’s pharmacy program from the current 47 to 60; increase the number of competitive Howard University pre-pharmacy students enrolled in the professional program from about 24 to 30 annually.

Relying on formative and summative evaluation methodology, activities will be evaluated on the basis of the specified outcomes of the program’s objectives, each of which is measurable, time framed and outcome oriented.  The academic and experiential quality of the program, and participant (students, faculty, and fellows) progress in the program, will be evaluated.

Florida

Florida A & M University
College
of Pharmacy
Henry Lewis III, Pharm.D.

Room 201 Dyson Pharmacy Building
Tallahassee, FL  32307
(850) 599-3301
FAX (850) 599-3731
henry.lewisiii@famu.edu
          

Other Center of Excellence

The Florida A&M University College of Pharmacy and Pharmaceutical Sciences (FAMU) Center of Excellence (COE) aggressively recruits African American students in high schools and junior colleges nationwide who are interested in pharmacy as a career.  The presence of COE at FAMU will help us build on existing strengths in recruitment and retention of both URM students and URM junior faculty. 

A six-week, daily summer enrichment program (called Project JUMPSTART!) will give year 01 and 02 students a JUMPSTART in general chemistry and organic chemistry prior to taking those courses. “Project PASS”, a COE-coordinated service is a “pharmacy” curriculum-based learning and skills development center, which offers to professional students a variety of academic support and enrichment services. Services include computerized access to lecture notes and practice problems/exams, faculty-led problem-solving sessions, as well as group tutorials. FAMU COPPS produces competent pharmacy graduates, as evident by our first-time pass rate of 95 percent on the Florida Licensure Board Examination for the past three years. To maintain this level of performance, students are provided ample opportunity to take multiple forms of a computerized “mock” comprehensive examination formatted identical to the pharmacy licensure examination.  Formal faculty development and retention programs focus on skill development in grant writing and “effective teaching” for junior URM faculty. Pairing interested URM students with FAMU pharmacy faculty research mentors enriches students’ overall education and exposes them to research training and methods in a wide variety of minority health-related issues. Minority health-related research areas include lead neurotoxicity, stroke, hypertension, Parkinson disease, and cancer. 

A cultural competency lecture series with eight-invited lecture speakers annually has been incorporated into an existing pharmacy student forum held bi-weekly. Lecture topics will enhance students’ professional readiness and cultivate an awareness of longstanding disparities in health status that affect racial and ethnic minority groups.  Moreover, preceptors who provide clinical experiences in sites remote from FAMU campus will infuse cultural competence into the clerkship training experience as it relates to providing pharmaceutical care to diverse racial and ethnic populations. Information resources will be improved by providing students at off-campus training sites dial-up access to computer resources at the Drug Information Center (DIEC) on the main campus in Tallahassee. Moreover, URM pharmacy students receive training in the DIEC on researching and writing articles, which address health issues affecting minority populations. These articles will be published in a local community newsletter and distributed to URM patient populations.

Georgia

Morehouse School of Medicine
Angela L. Franklin, Ph.D.
720 Westview Drive, S.W.
Atlanta, GA  30310-1495
(404) 752-1651
FAX (404) 752-1512
franklin@msm.edu

Other Center of Excellence

Morehouse School of Medicine (MSM) is a historically Black institution established to recruit and train minority and other students as physicians and biomedical scientists committed to the primary health-care needs of the underserved in this country.  The MSM Center of Excellence program will address the following legislative purposes-

Student Performance:  MSM will establish a Student Mastery Program designed to train students to adapt to systematic critical and analytic thinking strategies, as well as an Integrated Review Course for “at risk” students to reduce the number of basic science students needing to repeat/remediate coursework from the 2000 number of 5 per year to 1 per year by 2005. 

Faculty Development: MSM will focus its efforts on improving the skills and productivity of its faculty through a structured Faculty Development program.  MSM will conduct faculty development workshops throughout the year in 6 week sessions for MSM faculty, provide a longitudinal faculty development program to a select group of MSM and community physicians, and expand the existing faculty development program to provide specific opportunities for basic science faculty.

Information Resources, Curricula, Cultural Competence, and Clinical Education:  MSM provides access to information and resource support such as library references, journals, and publications through its Multi-Media Center.  MSM will expand the current cultural curriculum to include the Spanish-Speaking Prospectus. MSM will also integrate culturally competent interviewing skills into the 1st and 2nd year curriculum to improve communication skills. 

Faculty and Student Research:  MSM will development a student information tracking system for gathering data and information on graduating medical students that have been involved in research; assist in developing minority scientists via seminars/symposiums, technical workshops, grantsmanship and scientific writing sessions to increase the percentage of faculty. 

Student Training in Providing Health Care Services:  MSM will carry out a program to train students in providing health services to a significant number of URMs through training provided in community based health facilities by providing a required rural health rotation for senior medical students.

Competitive Applicant Pool:  Through the efforts of the Premedical Scholars Program (PMSP) as well as other HCOP supported activities, the MSM expects to increase the number students participating in the PMSP gaining acceptance to health professions schools from the 2000 total of 4 per year to 7 per year by 2005.  Each student enrolled in various courses will be assigned a biweekly review time with the Director of Counseling Services.  Students will be required to complete a reporting form that tracks their progress in the course and the completion of each intended behavioral objective identified in the individualized plan.  The MSM staff will use a printout from each student’s diagnostic exam, online database questions, and final simulated exam to monitor progress and ensure completion.  Each student will be provided a copy of the printout to use as feedback in preparation for the Boards. 

Hawaii

University of Hawaii at Manoa
John A. Burns School of Medicine
Benjamin B. C. Young, M.D.
1960 East-West Road, Biomed T101
Honolulu, HI  96822
(808) 956-6435
FAX (808) 956-6588
tanakak@hawaii.edu

Native Hawaiian Center of Excellence

With the health status of Native Hawaiians in such a dismal state and showing no apparent signs of improvement (and in some instances getting worse) it is the mission of the Native Hawaiian Center of Excellence (NHCOE) to improve the health of indigenous Hawaiians which will be accomplished through research, education, service, and training of Native Hawaiians in various health professions.  The NHCOE consists of the five following components:

Recruitment:  The emphasis of this component is to develop a competitive applicant pool of Native Hawaiian Students for careers in the health professions.  The John A. Burns School of Medicine (JABSOM) faced a formidable task in the early years because there was no viable or competitive pool of applicants among Native Hawaiians.  A systematic effort was put together under the NHCOE and projected for anticipated high yields in the 1990s.  The increase in the numbers of applicants to health professional schools is due in no small part to the steady and dogged labors of the recruitment team. 

Retention:  The thrust of this component is to enhance the academic performance of Native Hawaiian students and insure their success through medical school.  Since its inception, the NHCOE retention staff has improved Native Hawaiian medical student test performance and graduation rates. 

Faculty Development:  The NHCOE has focused on the expansion of Native Hawaiians in the JABSOM faculty.  This has not been easily accomplished because of serious financial set backs which have faced the entire State of Hawaii.  JABSOM faced cut backs in funding which was reflected in a significant decrease in faculty positions.  Nonetheless, the NHCOE sought out individuals who would still be interested in pursuing academic careers and has been successful in attracting several Native Hawaiians to become NHCOE fellows.  Under the faculty development component, the NHCOE also seeks to develop the skills and Native Hawaiian cultural competence/awareness of Native Hawaiian physicians, residents, fellows, and senior level medical students.

Curriculum Development:  This component of the NHCOE strives to incorporate and introduce Native Hawaiian health issues into the JABSOM curriculum.  This will be done through a review of the current JABSOM curriculum, a revision of health care problems to focus on major health risks among Native Hawaiians, an improvement in Native Hawaiian information materials, and the development of Native Hawaiian simulated patients for use in tutorials. 

Research:  The goal of this component is to encourage Native Hawaiians to develop research skills and conduct research on Native Hawaiian health issues. The research component accomplishes this by facilitating medical student and junior faculty research on Native Hawaiian health issues through placement in ongoing Native Hawaiian research projects and/or through technical assistance on original projects pertaining to Native Hawaiian health.

Illinois

University of Illinois at Chicago
College of Medicine
Jorge A. Girotti, Ph.D.
1853 West Polk Street, Room 151 CMW (m/c 786)
Chicago, IL  60612
(312) 996-4493
FAX (312) 996-3548
jorgeg@uic.edu

Hispanic Center of Excellence

The University of Illinois at Chicago (UIC) College of Medicine traces its origins to 1881.  However it was in the late 1960s that the College took a more proactive stance on the admission and education of a diverse student body.  In 1969, the College initiated the Medical Opportunities Program (MOP).  The goal of the MOP was to increase the number of applicants and matriculants from minority groups underrepresented in the medical profession.  It was a tangible commitment by the College to increase the admission, retention, and graduation of Hispanics, African Americans, and Native Americans from its M.D. program. 

The COE proposes to address the six legislative purposes for the Centers of Excellence:

  1. Student Performance – increase the percentage of Hispanic students who pass the USMLE on their first attempt from 81 percent to 90 percent; Evaluation: Review Course for First-Time Takers of the USMLE-Step 1: increase first-time pass rate to 95 percent or greater;
  2. Faculty Development – increase the number of new, tenure-track Hispanic junior faculty members in the College by a total of three; Evaluation: Hispanic Faculty Fellowships: effective transition of each fellow into a tenure-track position within the department or a department at another institution;
  3. Information Resources, Clinical Education, Curricula, and Cultural Competence – develop informational resources that address Hispanic health issues and that are available to all College faculty, residents and students; Evaluation: Develop a Library on Hispanic Health Issues and Develop Section on Informational Resources in the HCOE Web site and the use of these resources by faculty and students;
  4. Faculty/Student Research – To increase number of Hispanic students engaged in research projects relevant to Hispanic and other minority health issues from the current average of 8 per year to at least 15 per year; Evaluation: Summer Research Fellowships: increase the number of Hispanic students participating in the Medical Student Research Forum;
  5. Student Training in Providing Health Care Services – increase the percentage of Hispanic preceptors in the Longitudinal Primary Care component of Essentials of Clinical Medicine from the current 10 percent to 15 percent by the third year of the grant period; Evaluation: LPC Hispanic Preceptor Recruitment and Development Campaign: Achieve a goal of 15 percent Hispanic preceptors;
  6. Competitive Applicant Pool – increase the number of eligible Hispanic applicants from Illinois from the current average of 45 to 60; Evaluation: The ultimate outcome of these methods is increasing the competitive applicant pool to 60 students.

Kansas

University of Kansas Medical Center
Iral D. Porter, M.A., M.B.A.
3901 Rainbow Boulevard
Kansas City, KS  66160-7120
(913) 588-1236
FAX (913) 588-1399
iporter@kumc.edu

Other Center of Excellence

The University of Kansas Medical Center (KUMC) proposes to expand on the extraordinary efforts and successes of its past five years.  Since its inception in 1998, The University of Kansas Center of Excellence for Minority Medical Education has:  1) combined with the Health Careers Pathways Program to develop a K-20 Pipeline to ensure a competitive applicant pool: 2) retained and graduated 95% of its underrepresented minority (URM) students; 3) increased its URM faculty from 24 (1998) to 39 (2003) – a) recruited eight and developed twelve tenure-track faculty, with 100% (3) receiving tenure in a timely fashion, and b) retained 89.2% of its URM hired since 1995; 4) incorporated twenty-eight new modules addressing issues of culture and ethnicity in all four years of the curriculum and residency and implemented a Cultural Competence elective (year II); 5) increased by 565 the number of publications on health care issues relating to underserved populations; 6) assisted the School of Medicine in providing opportunities for 175 of its students each year to be trained in off-site health care settings (physicians’ offices and clinics) serving large numbers of minority patients in surrounding urban and in rural areas (HPSAs) throughout the state of Kansas; and 7) provided opportunities for forty-seven (47) URM students and their faculty mentors to participate in research on health care issues affecting minority populations.

Louisiana

Xavier University
College of Pharmacy
Wayne T. Harris, Ph.D.
1 Drexel Drive
New Orleans, LA  70125-1098
(504) 483-7421
FAX (504) 485-7930 
wharris@xula.edu

Historically Black College & University Center of Excellence

Xavier University (XU) of Louisiana is a historically Black, Catholic institution dedicated to the promotion of social justice by providing both liberal and professional education.  The XU Centers of Excellence Program (COE) goal is to increase the number African American students entering the health professions and to ensure that they are prepared to assume leadership roles in health care practice, academia, and research.  Fulfillment of this goal mandates that the College of Pharmacy offer a nationally competitive academic program to its students, a majority of whom are African Americans.  It is through the collective contributions of the University, the COE Program, the College’s research program, grants, and contracts, that the institution has made tremendous improvements in the academic program of the College during the past 15 years.  The XU not only offers the B.S. in Pharmacy as the only degree, they now offer both an entry-level Pharmacy Doctorate and a post-baccalaureate Pharmacy Doctorate. 

While XU continues to lead the country in graduating African American pharmacists, there remains a severe shortage of minority pharmacists assuming academic and/or leadership positions in the profession.  The COE program proposed for the next three years has been targeted to achieve the following: 1) creating a more competitive applicant pool of URM students through cooperative programs with high schools, and college math/science programs; 2) establishing an academic support and leadership development programs for URM pharmacy students; 3) maintaining the adequate quality and quantity of faculty by having a highly competitive reward system and a faculty development program; 4) maintaining and upgrading all information resources including technological resources; 5) increasing the opportunities for faculty and student research through the COE  Scholars Program, the Clinical Research Center, and the Environmental Toxicology Program; and 6) creating a formalized program for training students in health services for minority patients. 

The COE program will be evaluated each semester in the following areas of academic performance, professionalism leadership, and active participation in all COE Scholar’s activities; successful completion of remedial courses, passing of diagnostic exams with a score of 70 percent or better, completion of the course curriculum in four years; evaluation of faculty development activity plans; evaluation of on-line references services available to faculty and students.

Massachusetts

Harvard Medical School
Joan Y. Reede, M.D.
164 Longwood Avenue, Room 210
Boston, MA  02115-5818
(617) 432-2413
FAX (617) 432-3834
joan_reede@hms.harvard.edu

Other Center of Excellence

Harvard Medical School has a long-standing commitment to diversity and community outreach as exemplified in student, curriculum, faculty development and pipeline programs and initiatives.  Recognizing our individual and collective responsibility to society, our patients, and community, we are committed to the recruitment, retention, and promotion of a diverse, culturally competent workforce that is prepared to assure that excellent clinical care is provided and appropriate research conducted within our institutions.

The COE’s six programmatic areas of focus are:

  1. Student Performance:  To build upon the student’s academic successes, the COE will provide learning skills counseling and USMLE preparation.  Working in conjunction with Harvard Medical School (HMS) residency training directors, the COE will review effective strategies to enhance URM recruitment;
  2. Faculty Development: The COE will enhance communication to URM faculty by providing a web-based listing of available faculty positions, a web-based calendar of cross-Harvard career development seminars, and a database of sponsored research/funding opportunities related to minority health/health disparities.  The COE will also provide learning counseling to assist URM residents, fellows and junior faculty in passing the Step III and Board exams, and will offer a career development series that targets URM residents, fellows and junior faculty;
  3. Information Resources and Cultural Competence:  The COE will develop and implement a pilot formal training program in cross-cultural competency for HMS students and residents.  In addition, there will be cross-cultural competency workshops held for residency training program directors and core clinical clerkship directors;
  4. Faculty and Student Research: A database, directory and bibliography will be created of all Harvard-affiliated investigators with workforce issues;
  5. Student Training in Providing Health Care Services: The COE seeks to enhance the students’ knowledge of community-based minority health facilities and opportunities through the creation of a directory of community-based health care facilities and community health-related organizations; and
  6. Pipeline Programs: To increase HMSs outreach to the competitive applicant pool, the COE will build on one of HMS current pipeline programs that hosts Boston Public Schools middle school students for a day of presentations, panel discussions about educational paths, and partnering of individual students with researchers.

The evaluation of the COE will be measured based on an annual summary report of COE activities, highlighting successes, obstacles, and points of collaboration, will be presented to the Dean’s Executive Council on Diversity.  Student graduation rates, attrition, Step I and Step II first, second and third time passage rate and Step I and Step II mean scores will continue to be collected and monitored.

Michigan

Michigan State University
College of Human Medicine
Wanda D. Lipscomb, Ph.D.
A234 Life Sciences Building
East Lansing, MI  48824-1317
(517) 353-7140
FAX (517) 432-1051
lipscom3@msu.edu

Other Center of Excellence

The College of Human Medicine (CHM) is one of five health professions schools at Michigan State University (MSU).  CHM is committed to prepare physicians who value the doctor-patient relationship, respect and value diversity, and seek to provide quality health care for the underserved.  CHM has a national reputation as a medical school that promotes minority medical education with a current underrepresented minority (URM) student enrollment of 23 percent.  CHM has steadily graduated URM physicians to address the issues of inequity. 

The following objectives will be implemented at the CHM: 

Student Performance-Implementation of tutorials, Supplemental Instruction, Individual Assessments, Q-Bal Groups, Question Groups, Cooperative Learning Study Groups, Skills Instruction, USMLE Preparation – system reviews, computerized question bank, seminars on success strategy, and mentors to assist students in academic performance areas. 

Faculty Development-Implementation of faculty recruitment plan and delivery of a varied faculty development plan that includes mentors, academic advisory committee, faculty fellowship opportunities in areas of teaching, service, leadership, and research, support for participation in professional organizations, development in health disparities research. 

Information Resources, Clinical Education, Curricula, and Cultural Competence-Expansion of electronic information resources, informatics and technology training, development of web sites and list serves, training on the use of resources and search engines, addition of new curricular components targeting six pre-clinical courses, formalization of clinical preceptorships in underserved areas, implementation of medical Spanish course, implementation of course in health care disparities research.

Faculty and Student Research-Seminars and training in research methods and design, participation by visiting scholars in health disparities research, works in progress round table, writing groups, research mentors, collaborative research projects, cultural diversity research experience for students. 

Student Training in Providing Health Services-Preclinical student preceptorship at community clinic and ambulatory care training sites in five Michigan communities.  Development of a More Competitive Applicant-HPAP Alliance, tutorial program, SAT-ACT preparation program, summer science academy.

The Evaluation Team will develop a coordinated evaluation plan that includes project-specific evaluation.  Reporting will focus on successes and problems encountered as part of the logistics of project implementation, assessment of the effectiveness of the design principles and outcomes related to Centers of Excellence objectives.  The evaluation plan also includes an evaluation of the overall program, which focuses on the effective coordination and integration of the multiple projects collaborating as part of Centers of Excellence.  An important aspect of the evaluation is monitoring evaluation activities across specific projects to promote integration with on-going activities within the College of Human Medicine.

Minnesota

University of Minnesota at Duluth
School of Medicine
Joycelyn Dorscher, M.D.
10 University Drive, Room 182 Med.
Duluth, MN  55455
(218) 726-7235
FAX (218) 726-8948
jdorsche@d.umn.edu

Native American Center of Excellence

The University of Minnesota Native American Center of Excellence (UM COE) proposes a continued COE consortium of two UM Academic Health Center Schools: School of Medicine Duluth (SOMD) and School of Medicine Twin Cities (SOMTC). With this proposal, University of Minnesota Duluth Masters of Social Work Department would join the consortium to provide clinical social work students with American Indian health content. SOMD is the lead school with over twenty years of promoting Native American/American Indian medical education. UM COE/Center of American Indian and Minority Health was an initial program to develop a comprehensive educational pipeline, the Indian Health Pathway (IHP) spanning kindergarten students to tenure-track faculty and was among the original Native American COEs first funded in 1991. Since then, 91 American Indian medical students have matriculated. The IHP continues to promote pre-health and health professions programs and content in consortium schools and supporting partners in the Northeast Minnesota region. K-12 to medical and graduate levels of the pipeline involve academic monitoring and activities in cultural competence, experiential/service learning, research, and professional development.

Montana

University of Montana
School of Pharmacy and Allied Health Sciences
Lori Morin, M.B.A.
341 Skaggs Building
Missoula, MT 59812-1532
(406) 243-4621
FAX (406) 243-4209
morin@selway.umt.edu

Native American Center of Excellence

The University of Montana (UM) School of Pharmacy and Allied Health Sciences (SPAHS) is the only such school in Montana, a rural state with a large population of American Indians who are educationally and medically underserved. The UM SPAHS offers baccalaureate and Pharm.D. degrees in pharmacy and a master's degree in physical therapy (PT). The pharmacy program is accredited by the American Council of Pharmaceutical Education. Out of 225 students in the professional pharmacy program, 11 (5%) are minority students and 9 (4%) are American Indian/Alaska Native (AI/AN), the second largest number ever enrolled.

Institutional Commitment: Programs for disadvantaged students at UM include: African American Studies (1968-present); Native American Studies (1969-present); TRIO support for Upward Bound (1966-present); Educational Opportunity Program (1979-present); GTE 1991 FOCUS grant to recruit AI/AN into math and science; the 1994 Bridges to the Baccalaureate Degree grant to recruit minorities into research; the 1995 Department of Education grant to fund the McNair Scholars program to increase minorities with doctoral degrees; the 1994 NSF Systemic Initiative for Montana Mathematics & Science; and the 1995 NSF Systemic Teacher Excellence Preparation. In 1972 and 1973, SPAHS received funding under the American Indian Careers in Health and Special Health Careers Opportunities programs, respectively, and in 1993 for the HCOP project through the DHHS. Institutional support (cash and in-kind) for minority programs has increased from $114,482 in 1993-94 to $554,897 for 2000-01. UM President Dennison and SPAHS Dean Forbes have made campus diversity and minority programs support an institutional priority. UM and Montana University Systems (MUS) units have endorsed a statewide "Minority Achievement Plan".

Needs Assessment: Montana is a poor, rural state in which 82% of counties meet the Health Professional Shortage Area (HPSA) definition. 82% of the state's counties are Mental Health HPSAs, 73% are Primary Care HPSAs and 65% are Medically Underserved Areas (MUAs). American Indians represent 6.3% of Montana's population, but less than 3% of students enrolled at the two state universities are AI/AN. The poor representation in higher education is foreshadowed by a high school dropout rate twice that for non-Indians and dismal ACT scores. A scarcity of health careers role models contributes to a severe pipeline problem. Nationally and locally, the small number of Al/ANs entering and graduating from pharmacy has created a larger demand for AI/AN pharmacists than for any other ethnic group. In Montana only 11 pharmacists are AI/AN, 10 of whom are UM SPAHS graduates.

Nebraska

Creighton University
School
of Medicine.
Omofolasade Kosoko-Lasaki, M.D.
Omaha, NE   68178-0001
(402) 280-2600
FAX (402) 280-2599
skosoko@creighton.edu

Other Center of Excellence

Institutional Commitment- Creighton University School of Medicine (CUSOM) proposes the Center of Excellence Program as a comprehensive approach to the problem of under-represented minority (URM) persons in the nation’s health care work force.  In 2001-02, 8.47 percent of the entering students were URM persons, which increased to 15 percent by 2002-03.  Since 1998, CUSOM has augmented the number of URM faculty by 271 percent. 

Student Performance- The Pre-matriculation Program will preview the first year curriculum and will enhance the passing rate for first year URM students from 82 percent to 90 percent.  The Retention and Success Program will include personal and academic development courses throughout all four years of medical school; it will expand the progression rate of URM students from 80 percent to 91 percent and will increase the retention rate from 93 to 95 percent.  The Office of Academic Advancement will provide a Learning Resources Center for URM students.

Faculty Development- CUSOM will raise the number of URM faculty in tenure-track positions from 26 to 31 over three years.  The Office of Faculty Affairs will solicit new recruits and offer start up packages.  CUSOM will ensure that at least 90 percent of junior faculty will continue on tenure track by implementing the Faculty Development and Mentoring Model and by encouraging junior faculty to participate in development programs.  Senior faculty will provide junior faculty with mentoring, reviews of objectives, and evaluation of progress. 

Information Resources- A new library coordinator will create and manage a Multicultural Health Information Resource Center (MHIRC); the coordinator will double the number of URM educational materials in this center and will construct and monitor an MHIRC website. 

Curriculum, Clinical Settings, and Cultural Competence- CUSOM will initiate changes in all four years of the medical curriculum to enhance URM health care issues; for example, faculty will integrate URM educational materials into all modalities. 

Faculty and Student Research- In three years, CUSOM will increase the number of URM students participating in research on URM health issues from an average of two students to an average of five.  Also, we will augment the number of URM research projects from four to seven. 

Student Training in Providing Health Care Services- CUSOM will increase URM clinical experiences from 326 to 406 hours.  URM students will be granted first priority to enhance their exposure to URM patients. 

Competitive Applicant Pool- CUSOM will expand the current efforts supported by HCOP and HPPI to raise the number of URM students in the first class of medical school for 16 (14 percent) to 21 (18 percent) in three years. 

New Jersey

University of Medicine & Dentistry of New Jersey
Maria Soto-Greene, M.D.
185 South Orange Avenue, MSB A-550
Newark, NJ  07103
(973) 972-3762/3763
FAX (973) 972-3768
sotogrml@umdnj.edu

Hispanic Center of Excellence

The New Jersey Medical School (NJMS) is one of eight schools that comprises the University of Medicine and Dentistry of New Jersey (UMDNJ) and is located in Newark, which has a large minority population.  The objectives of the UMDNJ Center of Excellence include:

Objective 1: Address the academic performance and the retention rate of NJMS Hispanic students.  This will be accomplished by: 1a) Sustaining the Hispanic student graduation at 94 percent over the next three years.  This goal is chosen because it would approach parity with the non-minority graduation rate and is based on our average Hispanic enrollment; and 1b) increase USMLE , Step 1 pass rate on the first attempt from 83 percent to 94 percent over the next three years.  100 percent will pass on their second attempt.

Objective 2: Address the recruitment, training, and retention of Hispanic faculty.  2a) Increase Hispanic faculty from 23 to 29 over the next three years.  The addition of two faculty members in 2002, three in 2003, and one in 2004, will lead us to our goal. 

Objective 3:  Address information resources, curricula, and clinical experiences for New Jersey Medical School students and faculty. 3a) Maintain and update at 3-month intervals, the HCOE webliography linkages to Hispanic health, socioeconomic and cultural sites relevant to the practice of medicine over the next three years.  3b) To implement a culturally and linguistically competent core curriculum for 170 first year, 170 second year, 170 third year and 170 fourth year students over the next three years beginning in 2002.  This will culminate in a Graduation Objective Structure Clinical Examination that assesses all graduating students’ cultural and linguistic competency skills in the fall of each year beginning in 2002.

Objective 4: Addresses faculty and student research on health issues affecting the Hispanic community.  4a) six Hispanic first year medical students will participate in research training each year throughout the three-year grant period; 4b) three of the six proposed faculty trainees recruited during this three year cycle will attain independent grant funding by the end of the grant period; and 4c) 100 percent of newly hired Hispanic faculty trainees will be paired with senior investigators over the grant cycle. 

Objective 5: Provide at least 37 or 50 percent of all Hispanic medical student health services training in ambulatory preceptorships located in predominantly Hispanic communities over the next three years. 

Objective 6: Address the number and competitiveness of the Hispanic applicant pool in order to increase the enrollment of Hispanic students at NJMS.  6a) seven or 50 percent of Summer Undergraduate MCAT participants will achieve a composite score of 23 or greater each year over the next three years;

All programs will include both summative (outcome) and formative (process) evaluation components.  For each of these program objectives, we have defined specific long-range target figures to increase the recruitment, retention, and training of Hispanics students and faculty.  In addition, we will evaluate each individual component of the project to determine effective implementation.  Mechanisms, both qualitative and quantitative, will serve to identify program strengths and weaknesses, providing a basis for program refinement and modifications. 

New York

Mount Sinai School of Medicine
Gary C. Butts, M.D.

One Gustave L. Levy Place
Annenberg Building 5-16, Box 1257
New York, NY  10029
(212) 241-8276
FAX (212) 369-6013
gary.butts@mssm.edu

Other Center of Excellence

Mount Sinai School of Medicine (MSSM) was incorporated in 1963, on the campus of the Mount Sinai Hospital. The MSSM proposes to establish a Center for Multicultural and Community Affairs (CMCA) to conduct a comprehensive Faculty Recruitment and Development Program which targets six specific objectives aimed to further increase diversity at MSSM. 

The MSSM proposes the following objectives to meet the legislative agenda as outlined by the Centers of Excellence grant program:

  1. Development of “academic profiles” for students beginning with URM participants in the SEP pre-matriculation program and entering MSSM and support these students with enhance curricular and academic supports to maximize their academic potential, increasing success rates with medical school exams and courses, USMLE, and timely graduation from medical school;
  2. CMCA will implement a variety of targeted activities, supported by a Faculty Advisory Council (FAC) and Office of Recruitment and Retention (ORR), aimed at local, regional and national recruits as well as motivated, rising stars from our resident and medical school “pipelines.”
  3. CMCA will facilitate access to academic, public health, and minority health data to contribute to knowledge of healthcare access, service delivery, and health outcomes disparities through development and implementation of a website. 
  4. CMCA will partner with the MSSM Office of Medical Student Research Opportunities and develop specific academic relationships with medical school departments to support increased participation of URM medical students in research.  All newly recruited URM faculty and eight existing URM faculty will develop a mentored research project and participate in a structured program, which draws a partnership with the MSSM Clinical Research Training Program to develop research, presentation, and publication skills and develop a NIH proposal;
  5. CMCA will work with the Department of Community Medicine to develop early exposure to effectively recruit URM students to the MSSM-MSCM program;
  6. CMCA will draw on its comprehensive HCOP initiative which includes a comprehensive year round high school enrichment program, a collegiate Summer Research Fellowship Program, and a focused MCAT review course.  The MED-BOUND program is created to select the highest achieving students from this pool for early submission to MSSM.  Coordination between COE and HCOP activities will be provided through CMCA, where both programs will be administered.  In addition, we will implement aggressive outreach strategies and establish five new merit and need-based URM scholarships.  These activities will be supplemented with aggressive outreach to perspective medical school applicants. 

Multiple methods will be used to evaluate each of the six legislative agendas, careful benchmarks will be used to both track and assess progress toward achievement of particular component goals.  At the programmatic level, evaluation activities will focus on the ability of COE to do what is proposed, the soundness of the tracking system created, the quality of networks created both within and among the MSSM and Mount Sinai Hospital communities and the perceived success of mentoring efforts among the wider MSSM faculty as well as current URM faculty.

North Carolina

University of North Carolina-Chapel Hill
School of Medicine
Larry D. Keith, M.S.
MacNider Building, Room 322, CB 7530
Chapel Hill, NC  27599-7530
(919) 966-7673
FAX (919) 966-2027
larryk@med.unc.edu

Other Hispanic Center of Excellence

The University of North Carolina Chapel Hill (UNC) as a publicly funded institution is obligated to serve the citizens of the State, who constitute a large and diverse population.  The mission of the medical school is to render service to the people and institutions of the state.  To accomplish this mission the goals of the UNC Center of Excellence (COE) are to enhance the academic performance of underrepresented minority (URM) students, strengthen the cultural competence of medical school graduates, recruit additional URM faculty, and support student and faculty research on minority health issues.

The UNC COE specific objectives are as follows: 

  1. Student performance-Provide additional services to improve URM student performance in coursework and on licensing and other required exams.
  2. Faculty development-Provide additional salary support to enable recruitment of additional URM faculty; provide faculty development programs; and identify and recruit URM residents with promise to become academic physicians at UNC. 
  3. Information resources, clinical education, curricula, and cultural competence-Build print and web-based information resources related to minority health issues to improve the ability of faculty, students, and practitioners to address these issues; provide URM students with clinical education in underserved areas; and help faculty develop skills in teaching students to provide culturally competent care.
  4. Faculty and student research-Promote URM student interest in research related to minority health issues and health disparities and provide mentoring by faculty to develop research skills; promote faculty research related to minority health issues.
  5. Student training in providing health care services-Increase URM student exposure to patients in underserved/minority communities; develop the clinical knowledge and skills of URM physician role models/teachers in community settings.
  6. Competitive applicant pool-Continue existing programs funded by HCOP to consistently increase the competitive URM applicant pool and integrate these programs under the COE umbrella.

Evaluation will be accomplished through the use of the COE Comprehensive Information Management System (CPMS), a comprehensive database of participants and programs, with data collected, entered, and analyzed regularly.

Ohio

Ohio University
College of Osteopathic Medicine
Harold C. Thompson III, D.O.
030 Grosvenor Hall
Athens, OH  45701
(740) 593-2249
FAX (740) 593-0892
thompsh1@ohio.edu

Other Center of Excellence

The Center of Excellence (COE) at Ohio University College of Osteopathic Medicine (OU-COM) strives to be a leader and an exemplary model for the education of primary care physicians.  Of OU-COM graduates, 56 percent practice primary care medicine, and many of these provide care in medically underserved rural and urban areas.  OU-Com has worked to set a strong example of cultural diversity as the only COE in Ohio and the only osteopathic COE.

The COE has made tremendous strides in increasing the number of disadvantaged and underrepresented minority (URM) graduates over the course of the past decade.  Since 1993, URM applications are up 36.5%; matriculations up 14%; retention up 8%; and delayed graduations are down 12%.  The COE stands poised to further advance the HRSA national workforce goals in the future.  From 1995 to 2002, the number of URM students admitted to OU-COM increased by 150 percent.  The COE will initiate new institutional affiliations to further increase the number of applicants and strengthen the competitiveness of the applicant pool.

The COE at OU-COM prepares URM osteopathic physicians to serve in multicultural health settings as clinicians, researchers, educators and mentors.  The COE will actively advance recruitment and mentorship and create a new junior faculty track to ensure URM faculty success.  This COE will expand multicultural holdings and minority health linkages and strengthen culturally-sensitive curricular development.

The COE will increase URM faculty and student research skills and research into health care issues affecting URM and underserved populations.  Initiatives include appointing research mentors for all junior URM faculty, creating a network linking OU-COM students and faculty with URM medical educators and researchers and establishing a student research club.

Working with OU-COM’s Centers for Osteopathic Research and Education (CORE), the COE will identify additional health care facilities where URM students will complete clinical rotations in community-based settings that serve a significant number of URM patients.  Year two URM students will also participate in a summer externship in similar clinical practices.

OU-COM and Ohio University remain committed to the continuing diversification of the physician workforce and advancement of the understanding of minority health issues.  Success in the attainment of COE objectives set forth in this proposal will support that commitment and ultimately lead to the improvement of health and health care delivery for URM populations.

Oklahoma

University of Oklahoma Health Sciences Center
College of Medicine
Philip A. McHale, Ph.D.
PO Box 26901
Oklahoma City, OK  73190
(405) 271-8000, ext. 46199
FAX (405) 271-7382
Philip-mchale@ouhsc.edu

Native American Center of Excellence

The Native American Center of Excellence Consortium (COE) was established at the University of Oklahoma Health Sciences Center in Oklahoma City in 1993 and has operated successfully to the present.  The COE is a joint activity of the Colleges of Medicine and Dentistry, with formal linkages to the undergraduate campuses of the University of Oklahoma and Northeastern State University; and contracts for support services with the Association of American Indian Physicians and the Society of American Indian Dentists. 

The performance of matriculated students is carefully monitored by program staff and faculty mentors, and students with academic difficulty are provided with tutors and/or counseling.  Faculty development efforts include stimulation of students to consider careers in academia, as well as support for developing faculty.  There are presently 16 Native American medical and dental faculty.  The COE supports information resources in the Indian Health Collection at the OUHSC Library.  Enhanced educational efforts include required didactic courses, the use of Native American simulated patients, and clinical externships in Indian country.  These curricular components are designed to engender cultural competence in all medical and dental students, both Native and non-Native.  Students and faculty are engaged in exciting research on Native American health care issues and are working with experienced investigators.  Student health services training is accomplished by assigning students to Indian Health Service and tribal clinics as part of their total educational experience.  Efforts to develop a competitive applicant pool included recruitment and academic skills enhancement programs at the linkage institutions and preparation for the required admissions tests. 

Evaluation will be based on the quantitative objectives.  Data for evaluation will come from a variety of reliable sources such as:  databases maintained at the Colleges of Medicine and Dentistry, the Association of American Medical Colleges, the Association of American Dental Schools, United States Medical Licensing Examinations, National Dental Board examinations, reports from the HSC Research Administration Office, and HSC personnel records.  The success of the COE will be documented in yearly progress reports as required.

Pennsylvania

University of Pennsylvania
School of Medicine
Jerry C. Johnson, M.D.
3508 Market Street, Suite 234
Philadelphia, PA  19104-3357
(215) 899-3892
FAX (215) 573-2793
jcjohnso@mail.med.upenn.edu

Other Center of Excellence

Since the inception of this Center, the School of Medicine has increased the number of URM faculty from 27-65 (138 percent) with an increase since 1999 from 37 to 65 (73 percent), has implemented curricular changes related to minority health and cultural competence involving the entire medical student class, has facilitated campus-wide minority health research programs including a recently funded Center for Health Equity Research and Promotion, and has implemented an array of programs aimed at increasing the applicant pool of minority health professionals.  The Center will respond to all legislative requirements of this grant program as follows:

Student Performance:  To sustain the level of clinical performance of underrepresented (URM) students so that at least 20 percent (baseline 20 percent) of the grades of the URM students in the mandatory clinical rotations are honors and at least 50 percent (baseline 50 percent) of the students attain at least one honors grade. 

Faculty Development:  To provide an array of recruitment-support activities that will increase the total number of URM faculty (now 65) including tenure, clinician educator, and clinical tracks by nine by 2005.  The nine faculty will include at least three tenure tracks and at least three CE track faculty.

Information, Clinical Education, and Curricula:  To increase the regional dissemination of clinical information and research related to minority health issues to health professionals and to the minority public using electronic communications, mailings of the COE newsletter, and direct interface with the minority lay public.

Faculty and Student Research:  To increase the interest and capacity of Penn (and regional) URM students and faculty will conduct clinical and health care services research relevant to understanding and reducing health disparities by facilitating and coordinating minority health research projects (epidemiologic, clinical, health services, health care policy). 

Student Training in Health Services to URMs:  To sustain 100 percent involvement of the student body in community based clinical experiences in family medicine, internal medicine, and pediatrics, and increase the number of hours of exposure by at least 40 hours for half the student body by 2005.

Competitive Applicant Pool:  To increase the national pool of qualified URM applicants by providing an annual premed enrichment program (10-15 students per year) that will result in acceptance rates to medical school above 90 percent and increase the skills of pre-medicine advisors that serve large numbers of URMs.  This is an established 10 week summer program consisting of research, introductory med school courses, MCAT preparation, and clinical observations.

The percentage of URM receiving honors in each required clerkship will be calculated and compared to the targeted goal (20 percent).  Each year, of the students who complete all of the required clerkships, the distribution of honors per person will be obtained and the percentage who received at least one honors will be compared to our targeted goal of 50 percent.  Stratified ethnic group analyses will also be conducted annually to internally monitor each URM group’s performance and trends over time for each clerkship.

Puerto Rico

University of Puerto Rico Medical Science Campus
School of Dentistry
Kathleen E. Crespo, Ed.D.

PO Box 365067
San Juan, PR   00936-5067
(787) 758-2525 x1010
FAX (787) 763-4868

Hispanic Center of Excellence

The goal of the UPRSD Hispanic Center of Excellence Focused on Health Disparities is to improve Hispanic students’ performance and train Hispanic faculty in innovative instructional methodologies and research methods.  It will be accomplished through activities that promote critical thinking, individualized learning and cultural competence.  It also aims to improve the competitive applicant pool with a special emphasis on students from disadvantaged backgrounds and from health professional shortage areas.

The objects of the COE during the three year period aim to: 1) increase students’ passing rates and scores on the NBDE, Parts Iⅈ 2) train faculty in the use of innovative instructional strategies and the development of culturally sensitive multimedia instructional materials; 3) develop standardized patient’s blueprints, a bank of cases, interactive computerized instructional material, a Hispanic oral health research issues web site and a community experience in disadvantaged communities around the Island; 4) expand the UPRSD student Summer Research Internship Program and train faculty through collaborative research; 5) expand the Externship program through an additional clinical experience in an underserved community to provide services to the elderly population; and 6) increase the competitive applicant pool through a linkage with the HCOP based in San German Campus of the Interamerican University, the Medicine Clubs of the School of Medicine’s HCOE and the Kids in Health Careers Program of the HRSA funded Pediatric Dentistry Training Program.  In the long run the project will help reduce oral health disparities in Hispanic populations.

The evaluation process of the Program includes product and process evaluation.  It will: 1) assess the extent to which intended outcomes and activities are occurring as planned; 2) determine if program components are contributing to program goals; 3) identify areas where improvement in project activity is needed, and 4) identify corrective actions needed to improve project activities.  An external evaluator will conduct two annual and a final evaluation.  An Evaluation Committee will be constituted whose functions are to oversee the development of all the activities to guarantee the achievement of the objectives and the desired outcomes as well as the proper use of all resources.

University of Puerto Rico Medical Science Campus
School of Medicine
America Facundo, Ph.D.
Medical Sciences Campus, Office #A-865
P.O. Box 365067
San Juan, PR  00936-5067
(787) 756-6343/ (787) 758-2525 x1868
FAX (787) 765-9182
afacundo@rcm.upr.edu

Hispanic Center of Excellence

The University of Puerto Rico School of Medicine (UPR-SOM) is the only state medical school in Puerto Rico.  The UPR-SOM objectives include:

  1. Student Performance: To increase the 1st year pass-rate from the current average of 95 percent to 99 percent within a three-year period, and to increase the USMLE Step 1 first time pass-rate from the current average of 88 percent to 95 percent during the three-year grant period.  Activities to accomplish these objectives are to conduct a summer enrichment program for 40 incoming first year students from disadvantaged backgrounds. 
  2. Faculty Development: To assist 20 junior faculty members in developing skills as teachers through self-directed learning activities with a mentor’s support; To design four online courses for junior faculty in developing teaching skills in order to serve a great number of faculty through online delivery; To establish an Advisory Committee on Faculty Development composed of faculty, students and administrators. 
  3. Information Resources, Clinical Education, Curricula and Cultural Competence:  To increase the number of trained community-based preceptors by 20 over a three-year period by means of developing and distributing educational/training materials using easy access multi-system technology; To train 15 faculty members on the skills associated with the interview process of candidates for medical studies using trained standardized simulated candidates (SSC) over a three-year period.
  4. Faculty/Student Research: To support the participation of at least three faculty members in a health services research project conducted by a senior faculty member of the Graduate School of Public Health by the end of the three-year period.  To provide a structured and supervised research experience on health issues that affect Hispanics on the Island and in the U.S., as well as on issues related to the delivery of health care to 45 medical students per year. 
  5. Student Training in Providing Health Care Services:  To integrate the Community-Based Managed Care course, developed as part of this Objective during the 1999-2002 HCOE funding cycle, into the Pediatrics, Internal Medicine, and Family Medicine rotations, to benefit 125 third and fourth year medical students. 
  6. Competitive Applicant Pool:  To enhance the “Student Recruitment Program,” by supporting the existing seventeen HCOE-funded “Medicine and Other Health Professions Clubs” located in the selected public intermediate and high schools across the island of Puerto Rico; and to fine-tune the tracking system of the Clubs to monitor and follow-up the growing number of participants in these Clubs.

The evaluation plan will consist of the number of faculty paired to a mentor; participation of faculty in workshops; individualized learning activities; preparation of 3-year professional growth plan; training needs assessments; annual assessments of mentors and mentees; number of meetings between the mentor and mentee; evaluation of educational activities; data collection and analysis following the evaluation plan delineated using process and product evaluation measures.

Tennessee

Meharry Medical College
School of Dentistry
William B. Butler, D.D.S.
1005 DB Todd Jr. Boulevard
Nashville, TN  37208-3501
(615) 327-6207
FAX (615) 327-6213
Wbutler@mmc.edu

Historically Black College & University Center of Excellence

Meharry Medical College School of Dentistry has a long and impressive history of leadership in the education and training of African-Americans and other underrepresented minorities as dentists.  Meharry has remained committed to its mission of producing competent and compassionate dentists who spend their lives dedicated to serving poor and underserved communities and educating low-income underrepresented minorities.  As we continue this legacy, the School of Dentistry is a Center of Excellence in its efforts to improve the oral health of African Americans and low-income people from all racial/ ethnic backgrounds.  The Center, established in 1988, remains a nationally recognized resource from providing a strong curriculum in clinical dentistry and basic principles of research.  For over one hundred and sixteen years, the School of Dentistry has provided educational opportunities for African Americans and other ethnic minority or underrepresented students by committing financial and human resources to educational programs, service delivery, and outreach programs.  More than 60 percent of our graduates apply their training to the improvement of health among economically disadvantaged populations.  Based on data from a 1999 American Dental Association survey of 1,548 dentists, 64 percent of Meharry dental graduates practice in socio-economically deprived areas and 67 percent of the patients served come from families with low-income.

Meharry Medical College
School
of Medicine
Billy R. Ballard, D.D.S., M.D.
1005 D. B. Todd Boulevard
Nashville, TN  37208
(615) 327-6323
FAX (615) 327-6221
brballard@mmc.edu

Historically Black College & University Center of Excellence

The Meharry Medical College School of Medicine presents this project in an effort to continue its role as a National Center of Excellence in minority health education.  The program focus on the six legislative requirements set forth in the COE guidelines.  Programs designed to enhance academic performance of African American students are (1) The Mini-Academic Programs for Success (MAPS) for incoming medical students and (2) the USMLE preparation programs for sophomore and junior medical students.  The methodology for Legislative Requirement Two- increasing the number of African American faculty- includes identifying and recruiting candidates from Meharry alumni and residents, creating an Interest Group, advertising in national publications, and various incentive and supportive programs to make the new faculty positions more attractive. 

We have six objectives to meet Requirement Three.  (1) All departments are expected to develop up-to-date educational websites for curriculum delivery.  (2) Support will be given to sustain the Library’s subscriptions of on-line journals.  (3) Additional lectures and small group case studies will be developed to enhance cultural competency.  (4) A medical Spanish course will be extended to first and second year students.  (5) Additional OSCE cases will be implemented to assess students’ levels of culturally competent care.  (6) A Center of Excellence website at MMC will be created to address health disparities. 

Efforts to enhance research on health disparities of African Americans (Requirement Four) will be addressed by pairing students will faculty members in a summer mentoring research program.  The program for Legislative Requirement Five is also a summer program that exposes students to a variety of health care settings in African American communities.  The goal of bringing more minorities into the health professions by creating a competitive applicant pool (Requirement Six) requires participation and involvement with other academic institutions.  A BS/MD program is being designed where students will participate in summer enrichment courses, MCAT preparation, and other activities.  These students will be selected from historically Black colleges and universities.  High school students, who have completed the 10th grade, may apply for a summer Science Enrichment and SAT Preparation Program which will help improve SAT scores, computer literacy and student, and test-taking skills.  Funding the programs proposed in this project will help Meharry Medical College to remain true to its mission of providing excellent education and training of African American physicians. 

University of Tennessee
College of Pharmacy
James C. Eoff III, Pharm.D.
847 Monroe Ave, Suite 226
Memphis, TN   38163
(901) 448-6120
FAX (901) 448-7053
jeoff@utmen.edu

Other Center of Excellence

This grant application is submitted to the Health Resources and Services Administration by the University of Tennessee College of Pharmacy for an “Other” Center of Excellence.  The UT College of Pharmacy, was one of the first schools of pharmacy in the south to offer the Pharm.D. (Doctor of Pharmacy) as the entry-level degree and has become a national leader in pharmacy education, research, services and patient care (pharmaceutical care).  As the only College of Pharmacy in Tennessee, it has been ranked in the top ten of all pharmacy schools in nationwide pools in the U.S. News and World Report survey of other deans for the past decade and currently the UTCOP is ranked number seven nationally out of 86 colleges of pharmacy.  The UTCOP has more than doubled our percentage of minority students in the last 10 years to an all time high of 96 under represented minorities in our student body of 422.  In addition, 71 of those minorities are black students, which is one of the highest numbers and percentages (17 percent) of black students of any non-minority college of pharmacy.  The College has also tripled the number of minority faculty within the past three years demonstrating a commitment to diversity within the faculty as well as student body.  The University of Tennessee Health Sciences Center is experiencing the greatest success in its history with regards to minority recruitment and retention, as well as multiple opportunities for interdisciplinary research with minority populations.  The Center for Health Disparities serves as the nucleus of the minority health and health disparities research efforts on the Health Sciences campus.  The Center for Health Disparities has a significant number of ongoing research projects focused on minority health, which makes the coalition with the College’s proposed COE an endeavor that will further improve our ability to achieve even greater success with under-represented minority [URM] students, faculty, and staff, while improving educational, informational, and curricula activities related to minority health concerns.

Texas

University of Texas Austin
College of Pharmacy
Louis C. Littlefield, PharmD.

1 University Station A1900
Austin, TX   78712-0120
(512) 475-9746
FAX (512) 232-1893
littlefield.cliff@mail.utexas.edu

Hispanic Center of Excellence

UT Austin College of Pharmacy (the College) has many programs in place that provide a solid foundation upon which to build an outstanding Hispanic Center of Excellence in Pharmacy.  The College has joint or cooperative degree programs with three designated Hispanic Serving Institutions within the University of Texas (UT) System including a joint degree program with UT Health Science Center at San Antonio.  The cooperative pharmacy programs at UT-Pan American and UT El Paso provide early admission to the College for qualified high school graduates (Pharmacy Scholars Program) from predominately Hispanic regions.  These programs also provide students the ability to gain greater cultural competency through community-service learning projects and training at clerkship sites in traditionally underserved and Hispanic populations. 

The College is one of the top pharmacy programs in the country and has the second highest number of Hispanic students (94) and faculty members (11).  Through the establishment of the HCOE, the College will improve the academic performance of Pharmacy Scholars and other Hispanic pharmacy students by enhancing academic support and enrichment programs.  We will design faculty development programs for current and future Hispanic junior faculty, as well as enhance the exciting Academic Career Path for pharmacy students.  The HCOE will augment the awareness of cultural competence throughout the College by contracting an outside consultant to conduct an assessment, expanding library resources, initiating a Minority Health Lecture Series, hosting cultural workshops at faculty and preceptor meetings, and expanding existing classes and service-learning experiences.  The College will take a leadership engage Hispanic students in research throughout their pre-pharmacy and professional programs of study.  The College will enhance community-based experiential training by developing new clerkship sties in Community Health Centers in South Texas and along the Texas-Mexico border.  The HCOE will strengthen its current student applicant pool through expanding and enhancing the academic support in the cooperative pharmacy programs, and through partnering with other HCOEs in Texas.

University of Texas at Galveston Medical Branch
Lauree Thomas, M.D.
301 University Boulevard
Galveston, TX  77555-0133
(409) 772-1442
FAX (409) 772-5148
lauthoma@utmb.edu

Hispanic Center of Excellence

The University of Texas Medical Branch (UTMB) is one of four academic health science centers in the University of Texas System (UTS).  Through its School of Medicine (founded in 1891), and Schools of Nursing, Allied Health Sciences, and the Graduate School of Biomedical Sciences, the University provides a broad range of educational programs in the health professions.  UTMB’s 99-acre campus encompasses 77 major buildings, including the John Sealy Hospital, a 797-bed teaching hospital with 32,505 inpatient admissions annually.  Its clinical enterprise includes 147 specialty and subspecialty clinics, providing for 767,831 outpatient visits.  Many of the patients served by UTMB are Hispanic.  In FY 2000, there were 7,378 inpatient Hispanic admissions (23 percent), and 143,358 outpatient Hispanic visitors (18.6 percent), reflecting UTMB’s longstanding commitment to the health of the Hispanic population of Texas.

The UTMB will seek to address the following objectives/legislative purposes: 

Objective 1): To increase the four-year graduation rate for Hispanic students from UTMB’s School of Medicine from 81 percent to 90 percent, and the total graduation rate from 90 percent to 95 percent over the three years of the grant. 

Objective 2): To increase the number of existing Hispanic faculty from 39 (four percent) to 43 (five percent) during the three years of the grant.  To provide each junior faculty member with formal and informal faculty development activities and mentor that will enhance the retention of newly recruited Hispanic faculty.  In addition, our aim is that they will be promoted and gain tenure within a seven year period of their initial appointment.  To provide financial assistance for HCOE Hispanic junior faculty to attend the annual AAMC Minority Faculty Development Conference. 

Objective 3): To maintain the 10 most important journal subscriptions associated with Hispanic health and culture, and to maintain and update the 10 videotapes, five computer software programs, and interactive videodisk collection related to issues associated with Hispanic health.  In addition, subscribe to or integrate resources available on five websites on Hispanic culture and health. 

Objective 4): To identify and recruit 20 faculty who are engaged in basic science or clinical research, preferably Hispanics involved in health issues or diseases, who are prevalent in the Hispanic population, and who will serve as mentors to 20 Hispanic medical students.

Objective 5): To increase the current number of Hispanic physicians in the State of Texas who serve as mentors and clinical preceptors from 18 to 24, over the three years of the grant. 

Objective 6): To increase the number of in grades 8th through 12th that are informed of health careers, from currently zero to 400 per year, through collaborations with the Brownsville and Laredo Independent School Districts.

University of Texas Health Science Center-  San Antonio
Martha Medrano, M.D., M.P.H.
7703 Floyd Curl Drive
San Antonio, TX  78229-3900
(210) 567-7781
FAX (210) 567-7772
medranom@uthscsa.edu

Hispanic Center of Excellence

The University of Texas Health Science Center at San Antonio (UTHSCSA) has five professional schools.  As part of its strategic plan, the UTHSCSA goal for education is to attract, recruit, develop and retain a diverse faculty and student body and respond to the local, regional, and national health professions workforce needs in medicine.  The Medical Hispanic Center of Excellence (MHCOE) is proposing innovative projects in student performance, faculty development, and student training.

The legislative purposes of the MHCOE are to:

  1. Student Performance/Retention: To provide tutorial services to 40 Hispanic Medical School freshman and sophomores per year; To provide a pre-matriculation program to 20 incoming Hispanic freshman per year; To reduce the percentage of Hispanic students dismissed or repeating a year for academic reasons, and/or re-mediating a course or courses equal those of the non-minority students. The evaluation will consist of monitoring program participants’ level of satisfaction with programs and track participant grading information and determining yearly percentage of Hispanic medical students dismissed, repeating, re-mediating or graduating within four years.
  2. Hispanic Faculty Development: To enhance the research skills of junior Hispanic medical faculty; To enhance the administrative skills of junior Hispanic faculty fellows; To increase the ability of UTHSCSA Hispanic faculty to be promoted and/or tenured; To enhance recruitment and retention of the UTHSCSA Hispanic Faculty.  The evaluation will consist of tracking of UTHSCSA Hispanic faculty program participants and the number promoted, tenured, recruited, and retained.
  3. Curriculum, Cultural Competence, Clinical Education and Information Resources: To provide consultation and assistance in the maintenance and enhancement of cultural competence activities in the freshman Clinical Integration Course (CIC); To continue and enhance the medical interpretation/ simulated patient activities in the third-year Family Practiced Clerkship; and To continue and develop culturally relevant clinical or didactic electives or electives for senior medical students.  The evaluation will consist of tracking the number of medical students and faculty per year exposed to the cultural competent curriculum activities. 
  4. Student/Faculty Research: To introduce and involve 10 incoming Hispanic freshmen in Hispanic health research.  The evaluation will consist of tracking program participants and their publications, oral and poster presentations, and interest in research careers. 
  5. Student Training in Providing Health Services: To provide 50 Hispanic freshmen, sophomores, juniors or seniors per year with clinical experiences in predominantly Hispanic rural or urban clinical centers, in order to expose them to the problems of health care delivery to this population. The evaluation will consist of tracking student participants, evaluate level of satisfaction and identify students who intend to return to practice in rural or medically underserved or physician shortage areas. 
  6. Competitive Applicant Pool: The MHCOE will work closely with the UTHSCSA Health Careers Opportunity Program, MARC and other local health career programs targeted at developing a competitive applicant pool. 

University of Texas Health Science Center- San Antonio
Department of General Dentistry
Ramon J. Baez, D.D.S., M.P.H.
7703 Floyd Curl Drive
San Antonio, TX  78229-2900
(210) 567-3420
FAX (210) 567-3443
baez@uthscsa.edu

Hispanic Center of Excellence

Rapid expansion of Hispanic populations nationwide makes it necessary to plan for training increasing numbers of dental professionals, that is, if oral health problems of these populations are to be addressed effectively. While there has been an increase in the number of Hispanics pursuing dental careers in recent years, the number has not increased in proportion to growth of Hispanic populations. Opinion now suggests that programs for attracting Hispanics to dentistry would be more effective if they were to be presented to younger potential candidates and, if those attracted could be assured they would be provided the information and training necessary to enable them, early on, to develop the academic and sensory skills needed by dental students. By the year 2000 the UTHSCSADS had achieved an enviable record for educating the Hispanic dentists serving in Texas and nationwide. Since accepting responsibility for developing the HCOE-Dentistry site in 2001, UTHSCSADS has prepared a creditable, innovative and progressively improving curriculum designed to accelerate student development of the habits and the academic, sensory and social skills essential to success of dental students, practitioners, scientists, academics, and administrators. The program, supported by newly selected library resources, language training and computer assisted teaching and learning, also acquaints students and faculty with strategies for addressing issues such as cultural competence, oral health problems in Hispanic communities, and the need for creating a competitive applicant pool among Hispanic pre-dental students. Since it is apparent that the curriculum and resources for the HCOE-D have been improving due to increased experience of staff, to constructive criticism from students, dental school administration, and to input received from increasingly interested departments at the dental school and faculty advisors at pre-dental institutions, the UTHSCSADS remains enthusiastically committed to continued responsibility for the program.

Washington

University of Washington
School of Medicine
David Acosta, M.D.
PO Box 357430
Seattle, WA  98195-7430
(206) 685-2489
FAX (206) 543-9063
dacosta@u.washington.edu

Native American Center of Excellence

The University of Washington School of Medicine (UWSOM) has responded to the needs of the citizens in its five-state region without regard to state boundaries.  Within this region are the homes of 41 federally-recognized Native American tribes.  The WWAMI region has a Native American/Alaska Native population of 662,940 which is about 10 percent of the total number of individuals who classify themselves as partially or solely American Indian/Alaska Native in the U.S. and a growing number of urban Indians in Seattle.  With this region and across the nation, there is a shortage of Native Americans entering the health professions.

The UWSOM proposes to address the following legislative purposes: 

Student Performance:  Enhances the academic performance of Native American medical students by providing instructional support, enhancing critical thinking, problem solving, test-taking, tutoring, study plans, and USMLE preparation.  The Centers of Excellence will develop a proactive five-year plan for high risk students and assist Native American students in USMLE Preparation. 

Faculty Development:  Goal addresses the school’s plan to train, recruit, and retain Native American faculty.  Given the challenges, success in this the objectives will be accomplished through the following activities:  Faculty Development Seminar, Clinical Faculty appointments, R/UOP Preceptorships, and NACOE Fellowship. 

Information Resources, Clinical Education, Curricula, and Cultural Competence:  By the year 2003, the NACOE will develop a web-based curriculum with accurate information regarding Native American health issues in an effort to make the NACOE curriculum available nationally.  This comprehensive curriculum with specific links to lectures, virtual cases, and academic support will be available to medical students, staff, and faculty from the UWSOM as well as other medical schools.

Faculty and Student Research:  Addresses faculty and student research on Indian health issues.  This purpose will be addressed by implementing new and expanding existing efforts as follows:  Independent Investigative Inquiry, Faculty Sponsors, and Grant-Writing Workshop. 

Student Training in Providing Health Care Services:  Maintain the school’s local and remote, clinical based training sites that have significant Native American populations.  This includes seven required clerkship sites and 29 elective sites in the WWAMI region that serve predominantly Native American populations. 

Competitive Applicant Pool:  The purpose will be addressed by expanding existing efforts as follows:  U-DOC High School Summer Program, Minority Medical Education Program, Pre-matriculation Program, and Admissions assistance to Native American applicants. 

The evaluation will be formative and summative.  Formative data will include the number of students attending activities, changes in academic and study skills and the number of students contacted by COE staff.  Summative data will be the number of faculty who join UWSOM, relevant research projects, etc.

 


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